PSYCHIATRY 1

Question 1

What is the Mental Health act Scot (2003)?

Answer 1

• Concerned purely with management & treatment of psychiatric disorders
• No provision for compulsory Tx of physcial problems (Only mental health problems)
• Can have detained patients in the community on “Leave of Absence”

Question 2

What are the detention terms for Mental health Act Scot (2003)

Answer 2

• Emergency Detention - 72hrs
• Short term Detention - 28 days
• Compulsory Tx order - 6 months
• Detention for assessment by Dr - 2hrs
• Removal to a place of safety

Question 3

List reasons for application of the 2003 Mental Health Act Scotland

Answer 3

• Person has a mental disorder
• Medical Tx is available which could stop their condition getting worse, or help treat some of their symptoms
• If that medical tx was not provided, there would be a significant risk to the person or others
• Because of the persons mental disorder, their ability to make decisions about med Tx is significantly impaired
• Use of compulsory powers is necessary

Question 4

What are the two diff types of Mental health problems?

Answer 4

• Neuroses - Contact retained w/ reality
• Psychosis - Contact lost w/ reality

Question 5

List Psychiatric Conditions in Dent

Answer 5

• Neuroses (Anxiety states and Phobias)
• Psychoses
• Eating disorders
• Personality disorders

Question 6

What are diff types of neuroses’?

Answer 6

-Anxiety
-Phobic
-Obsessional
-Hypochondriacal
-Depressive

Question 7

What are the 2 Anxiety states to differentiate between?

Answer 7

• Anxious Px - concerned about dental Tx
• Anxiety neurosis - concerned about everything(feels as if something is going to go wrong)

Question 8

List the 3 Anxiety disorders

Answer 8

• Generalised anxiety disorder - free-floating anxiety in many/all situations
• Phobic anxiety - intense anxiety/panic in specific situations
• Panic disorder - unpredictable extreme anxiety

Question 9

What is a Somatoform disorder?

Answer 9

• Repeated presentation of physical symptoms and persistent requests for med investigations, in spite of negative findings and reassurance that the symptoms have no physical bias/
• Manifestation of a problem that doesn’t exist medically or pathologically

Question 10

What are the 2 main management strategies to psychiatry? Give examples

Answer 10

Psychological Tx - psycho education/anxiety management strategies/cognitive behaviroal therapy
Drug tx - Self medication/presribed med

Question 11

List the 3 main types of anxiolytic drugs

Answer 11

• Alcohol
• Benzodiazepines (diazepam/midazolam/temazepam/lorazepam)
• Antidepressants (Tricyclic (noradrenaline & 5HT)/Mirtazepine/SSRI)

Question 12

What is seen in anxiety neurosis (AN) in Dentistry

Answer 12

• TMD & Parafunc
• Oral Dysesthesias
• Denture intolerance
• major aetiological factor in oral somatisation
• treat AN as well as symptoms

Question 13

What is OCD? & What can it lead to?

Answer 13

• Obsessive Compulsive disorder
• A fear of infection and can be fear of ‘dirty’ oral environment
• Rituals are developed to contain anxiety
• Can lead to depression

Question 14

What is Perfectionism?

Answer 14

perfectionism - personality trait/habits or rituals that are followed rigidly/NOT to do with anxiety avoidance

Question 15

What is OCD?

Answer 15

OCD - Mental health disorder/Involves repeated & unwanted thoughts that cause anxiety/individual performs a compulsive action to PREVENT THE DEVELOPMENT OF ANXIETY/ ritual may not be related to anxiety itself